MEDICARE: MARGARET ARNEILLE LUCERO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPCC603	CA

General Provider Information

NPI Number	:	1588023022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET ARNEILLE LUCERO

Provider Business Mailing Address
First Line	:	8644 NEWTON PL
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92508-2526
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8644 NEWTON PL
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92508-2526
Country	:	US
Telephone Number	:	303-521-6113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2016
Last Update Date	:	02/11/2016

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